Chii IUDs nani? Reviews pamusoro loop

Vanopfuura mamiriyoni 60. Women munyika vanosarudza izvi zvinoreva kuti kudzivirira pamuviri iri intrauterine. Chii IUDs nani, nokuti sei yakareba ndokwaanosimbiswa, ingava inorwadza muitiro? nyaya ava ichifarirwa vakadzi vazhinji.

kupatsanura Navy

Izvi kwakadai pamuviri kushandiswa pamusoro 16% ssiyskih rozhenschin pamuviri zera. Kuti uzive kuti zvakanaka pamusoro loop, iyo yakanakisisa kunodzivirira pamuviri, unofanira kuziva kuti ane zononoka mhando inogona kutengwa pamusoro mumhuri pamusika. Kune mhando anoverengeka intrauterine nhumbu:

• non-medicated;
• vomuzana chizvarwa mishonga - "Multiload", "Nova", "Juno Bio";
• medicated chizvarwa chechitatu - "Mirena".

Okutanga akaita kubva chakaita zvokugadzirwa zvinhu pamwe kuwedzera barium sulfate. Vakauya zvitarisiko dzakasiyana: mubato zvakaumbwa kana S-zvakaumbwa. Ichi va neudhadha IUDs. Reviews vanachiremba kushuma kuti havasi Parizvino kushandiswa nokuda kakawanda anogumbura yematambudziko pashure sumo kwavo.

Boka rechipiri kuchibva loop (intrauterine mano) panhamba mhangura, ndarama, sirivha. Saka pangava chimwe simbi kana mubatanidzwa: tsvimbo - sirivha ichitenderera - mhangura. IUDs nesirivha uye nedzimwe simbi regai zvinoparadza, kubatsira kudzivirira siyana kuzvimba yomunyika sikarudzi uye kupfeka chaizvo kwenguva refu - nokuti 5 years.

Nhumbu chokuita boka rechitatu, muchimiro chakafanana yapfuura ndivo, asi unotora mugaba ane chakaita zvokugadzirwa progestogen, iyo ukasunungurwa micro mishonga - 20 MG daily. spirals aya nemakore 7. Havana chete pamuviri chaizvoizvo kupfurikidza zvichivhiringidza kubatana pakati zai, asiwo anoshandiswa kurapa dzakasiyana zvirwere: endometriosis dzinoparadzana uterine ropa uye panguva hormone yokutsiva kurapa pamwe estrogens kudzivisa endometrial hyperplasia isiri yekenza. zononoka kwakadaro akakodzera vakadzi rusaruro zvechitendero kubva pakusangana hakuitiki nokuda nokuchinja kwemakemikari omuviri pachiyero pasi pokudzora rusingaperi kusunungurwa progestogens.

mashandiro chiito

Kugadzirisa mubvunzo chii IUDs nani, unofanira kuziva kuti unoshanda. nzira iyi pamuviri kunotungamirira pakuti chaizvo kuzvimba kukura sezvo maitiro kune muviri vatorwa leukocyte infiltration pamusoro endometrial morphological kuchinja kuti vari vatorwa kuna kuipa kumwedzi, uye umo kutanga zai hazvibviri.

Navy anoita uterine sunga, kunotadzisa kunowanzoitika kuwanda pamusoro endometrium kuti muchibereko zai, unokurudzira peristalsis pamusoro fallopian sepombi uye inokanganisa pamusoro dzisingaoneki ions emhangura, nesirivha.

Haufaniri kufunga ose dzidziso sei zvakapararira pamuviri Chaizvoizvo, mashandiro chiito chine anoverengeka zvinoriumba.

zvakwakanakira

Kuti uzive zvakaita loop ndicho chakanaka, unofanira kuva aiziva kubatsira mhando dzose IUDs:

• kunyatsoshanda kusvika 98%;
• nyore kushanda;
• kushoma pamusoro nenjodzi;

• kudzorerwa kukwanisa isa fotereza pashure kubviswa loop mukati romwedzi wokutanga;
• Hazvina vanotambura achiyamwa (kwete yakakodzera Navy pamwe progestins);
• akatanga kwenguva refu;
• pasi mutengo;
• hapana chikonzero nehurumende zuva zvemahwendefa uye kushandisa kuzvidzora pakushandisa nemumuromo pamuviri.

kutadza

Pakati zvikanganiso zvinofanira kucherechedzwa vachikweva marwadzo mudumbu, kunyanya mumazuva okutanga, rinorema kumwedzi, yakakwirira mukana kuzvimba, dzose achitonetsekawo ndebvu, kurambidzwa vakadzi vaduku.

Contraindications

Chii IUDs nani "Multiload", "Juno Bio", "Nova"? Kana pane contraindications kuti mamwe zononoka? Zvinofanira kucherechedzwa kuti marudzi ose vane hama uye mhedziso contraindications.

Mhedziso contraindications zvinosanganisira rikwanise kuzvimba, kenza, namamota kwemitsipa uye mutumbi dumbu, kusangana nekutsi kwemukadzi ropa pamusoro vasingazivikanwi hunhu, vanotarisira kana huripo pamuviri. Kana zviratidzo izvi sumo zononoka zvachose contraindicated.

Hama contraindications - Zviratidzo izvi umo Kutarisirwa loop zvichida pashure kuongorora akakodzera kana kurapwa, kana apo kudzivirira pamuviri asina achabatsirawo kuti kuchiita kwacho. Ivo:

• exacerbation echirwere zvirwere, uye mwedzi mitanhatu pashure kurapwa;
• pabonde;
• cervicitis, vaginitis;
• rinorema kumwedzi, intermenstrual ropa;
• hyperplasia isiri yekenza kana endometrial polyps;
• Uterine fibroids pamwe submucosal nzvimbo nodes;
• rwakati endometriosis;
• malformations of dumbu: underdevelopment, kanganisika mamiriro;
• zvachinja cervix, pazviri pasingabviri kuti loop kupinza;
• ectopic pamuviri kwemwedzi mitanhatu asati pakusuma;
• kudzingwa (Self-KUBUDISA) Navy munhoroondo;
• chirwere-anogumbura yematambudziko pashure pamuviri mumakore mitatu;
• Kana yakawanda pabonde;
• somatic zvirwere: chisingaperi kuzvimba, kusanganisira tiibhii; kupererwa neropa kana coagulopathy; rheumatic mwoyo chirwere, vharafu kuremara ari mudziyo;
• ane chisimbwa kuti simbi ions;
• Westphal, Wilson nehosha - nhaka chirwere, iyo chacho Exchange zvemhangura;
• immunosuppressive kurapwa.

Muchiitiko chimwe nechimwe, pashure kujekeswa zvose yaivhuvhuta zvinoita uye kwazvo kuongororwa chiremba kunotema kana loop kushandiswa. Pharmacies tengesa dzakasiyana-siyana intrauterine mano. Photo Mabhokisi akauya pamusoro. mutengo wavo anoda kubva 200 kusvika 10,000 rubles.

Kuongorora pamberi Kutarisirwa akamonyoroka

Asati kushandisa nzira iyi pamuviri kunoda munhu zano gayinakorojisiti wako uye aurayiwe runodiwa zvishoma pamusoro kuongorora:

• CBC;
• Kuongorora kuti renal basa ;
• firimu nokuti njovhera, hepatitis B neC, HIV-chekufambisa;
• yose colposcopy;
• Ultrassom kuzviongorora dumbu uye zvinoshandiswa.

Musumo of loop

Maererano WHO nyanzvi, kuti zononoka chinogona kupiwa pamamiriro zuva, asi zvikuru akanaka mazuva mazuva 4-7 kumwedzi. Izvi zvinotsanangurwa nokuti akati mucous Kamudzira pamusoro dumbu yokudzorerwa mushure kuramba endometrium, cervix zvishoma akazaruka, kuvapo kumwedzi - akavimbika chiratidzo kusavapo pamuviri, uye zvishoma ropa kuitika mushure pakusuma, regai kuuya mukadzi kusanzwa. Pashure pamuviri kana samoaborta loop anogona kupinda pakarepo kana mukati 4 Mazuva pasina zviratidzo ropa uye kuzvimba.

Pashure pokuzvarwa (mukati maawa 48) haina varumbidzwa i pakarepo raitongwa nekuti pane mukuru mukana kudzingwa of coils. The kupfuura Zvakanyanya Kunaka Panguva Yepamuviri nguva - 6 mavhiki pashure pakukurukura.

yematambudziko

Matambudziko zvinogoneka pakarepo uye mushure mechinguva mushure intrauterine mudziyo iiswe. Ndezvipi zviri nani panyaya kushoma pakati kusingafadzi nemishonga? Kazhinji, pashure pakatanga pamusoro zononoka pane chinorwadza chiratidzo hunogara kwemaawa. Izvi akaudzwa mune kudzokorora. Kakawanda, kusagadzikana rinopfuura pashure pokutora analgesics. Kana marwadzo hakuperi nokuda analgesics uye antispasmodics, zvakakodzera kuitisa Ultrasound kana hysteroscopy yokuziva yakarurama pamusoro loop uye diagnosing kuvapo zononoka mudumbu kana kunze kwayo (pakatanga uterine perforation).

Loop kudzingwa kunoitika kakawanda muna vaduku nulliparous vakadzi nokuti yakawedzera uterine vachikanganisa. It kunoitika kunyanya pamazuva okutanga pashure kutarisira. The kakawanda kuomesa ichi kunobva mhando akamonyoroka: coppercontaining deletes pacharo muna 6-16% nyaya, progestagensoderzhaschie - muna 3-6.5%. With zera, kuwedzera kwenhamba yokuberekwa pamuviri mikana yematambudziko ipfupi.

Anogumbura zvirwere - yematambudziko kuti vari kuchengetwa 3,8-14,5% nyaya kana raitongwa loop boka rechipiri. Muchiitiko chino, kana paiva kuzvimba ari 3 mavhiki wokutanga, chiitiko chacho inogona ukama loop kupinza; kana pashure 3 months - ihosha akabuda zvakare. Nezvekugadzirwa dzidzo pus tubovarialnogo - kupfuura anotyisa pakati anogumbura yematambudziko. It kunoitika pamwe kwenguva refu kushandiswa zononoka - makore anopfuura 6-7. Kusvibisa zvinogoneka mumazuva okutanga pashure Kutarisirwa (2,1-3,8%) uye yakasvikawo chinangwa styptic. Kana ropa mberi, achiperekedzwa kurwadziwa chirwere kana kuitika pakati kugeza uye havanzwi kurapwa, zvakakodzera kubvisa coils.

Muna 0.5-2% of inobvira pamuviri. Izvi chinovapo kana zvachose kana rushoma kudzingwa yacho loop. Kakawanda, nhumbu iyi inoguma mu kwatangwa pamuviri, kunyange kana ari mukadzi achida kuizadzisa.
Uye chii IUDs nani panyaya yematambudziko, kubatsira kugadzirisa gayinakorojisiti.

Kubudirira intrauterine pamuviri

A yakawanda mhando Navy anoisa mibvunzo yakadaro kumukadzi: sei kudzivisa matambudziko, uye chii nani loop? Reviews vanachiremba uye varwere vanotaura nyasha copper- kana sirivha tubhokisi loop.

The kuwedzera yemhangura uye sirivha kwakaderedza kuitika yematambudziko muna 2-10 nguva. Kubudirira loop iri 93,8%. Inert akamonyoroka vane efficacy muna 91-93%. Pari zvikuru yakakodzera ndivo zononoka rakadzika mwero yematambudziko uye yakakwirira chikamu pamuviri basa mhangura-tune.

Kemikari-Kusunungura System "Mirena" ndiyo inonyanya inoshanda chaizvo uye mbereko anonzi anenge zvipenyu, sezvo ane dzinoverengeka nezviito zvainanga kudzivisa fertilization, vakaiisa kuna endometrium, kuwedzera viscosity kuti madzihwa ari cervix kudzivirira urume kupinda dumbu.

Taiongorora zvakanaka uye Migumisiro, iro rine zononoka intrauterine. Chii nzvimbo nani? nyaya iyi inofanira kugadziriswa pavanoparidza gayinakorojisiti. Izvi anosarudza mutengo pane mukadzi anoda uye uchapupu kuti pashure pokuongororwa zvinoratidza chiremba.